Snyder希望理论的护理干预对结肠造口患者应对方式、希望水平及心理状态的影响  

Effects of nursing intervention based on Snyder's hope theory on coping style,hope level and psychological state of colostomy patients

作　　者：张艳侠[1] 张荆晓 韩玉环[2] Zhang Yanxia;Zhang Jingxiao;Han Yuhuan(Nursing Department,the First People's Hospital of Xuzhou,Xuzhou 221000,China;Department of Gastrointestinal Surgery,the First People's Hospital of Xuzhou,Xuzhou 221000,China)

机构地区：[1]徐州市第一人民医院护理部,徐州221000 [2]徐州市第一人民医院胃肠外科,徐州221000

出　　处：《国际护理学杂志》2024年第1期106-110,共5页international journal of nursing

摘　　要：目的分析Snyder希望理论的护理干预对结肠造口患者应对方式、希望水平及心理状态的影响。方法选取2019年7月至2022年3月期间徐州市第一人民医院收治的直肠癌术后结肠造口患者103例,根据护理方式不同分为对照组50例(常规基础护理)和实验组53例(Snyder希望理论护理)。对比两组应对方式、希望水平、医院焦虑抑郁量表(HADS)、心理痛苦温度计(DT)及并发症发生情况。结果两组干预后面对评分升高,回避、屈服评分均下降;且实验组面对评分高于对照组,回避、屈服评分低于对照组,差异均有统计学意义(均P<0.05)。两组干预后I、P、T三维度评分均上升,且实验组高于对照组,差异有统计学意义(P<0.05)。两组干预后焦虑(HADS-A)、抑郁(HADS-D)及DT评分均下降,且实验组低于对照组,差异有统计学意义(P<0.05)。对照组并发症发生占比为20.00%(10/50),实验组并发症发生占比为5.66%(3/53),实验组并发症发生占比低于对照组,差异有统计学意义(P<0.05)。结论应用Snyder希望理论护理干预可有效纠正结肠造口患者应对方式,改善其希望水平及心理状态,且减少并发症发生率,值得临床推广。Objective To analyze the effects of nursing intervention based on Snyder's hope theory on coping style,hope level and psychological state of colostomy patients.Methods A total of 103 patients with postoperative colostomy for rectal cancer admitted to this hospital from July 2019 to March 2022 were selected.According to different nursing methods,50 cases were divided into control group(routine basic nursing)and 53 cases were divided into experimental group(Snyder's hope theoretical nursing).The coping style,hope level,Hospital Anxiety and Depression Scale(HADS),Distress Thermometer(DT)and complications were compared between the two groups.Results After intervention,the face scores of both groups increased,and the avoidance and yield scores decreased.The face score of the experimental group was higher than that of the control group,and the score of avoidance and yield were lower than that of the control group,and the differences were statistically significant(P<0.05).Interconnectedness(I),positive readiness and expectancy(P)and temporality and future(T)scores of both groups increased after intervention,and the score of I,P and T of experimental group was higher than the control group,and the difference was statistically significant(P<0.05).After intervention,the HADS-Anxiety(HADS-A),HADS-Depression(HADS-D)and DT scores of two groups were decreased,and the score of HADS-A,HADS-D and DT of experimental group was lower than the control group,and the difference was statistically significant(P<0.05).The proportion of complications in the control group was 20.00%(10/50),and that in the experimental group was 5.66%(3/53).The proportion of complications in the experimental group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusions Nursing intervention based on Snyder's hope theory can effectively correct the coping style of colostomy patients,improve their hope level and psychological state,and reduce the incidence of complications,which is worthy of clinical promoti

关 键 词：Snyder希望理论 结肠造口 应对方式 希望水平 心理状态 

分 类 号：R473.73[医药卫生—护理学]